Document Detail


Clinical and silent stroke following aortic valve surgery and transcatheter aortic valve implantation.
MedLine Citation:
PMID:  22226171     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transcatheter aortic valve implantation (TAVI) has been introduced as an alternative to conventional surgery for high-risk patients with aortic stenosis. A recently published randomized clinical trial demonstrated reduction of mortality in high-risk or inoperable patients when compared to medical treatment or balloon aortic valvuloplasty. Despite this evidence of superiority, the rate of TAVI complications is high, and perhaps the most devastating of the nonfatal complications is cerebral injury. This review will compare the incidence of stroke and "silent" cerebral injury after surgical aortic valve replacement and after TAVI and will discuss mechanisms that can lead to cerebral injury during these procedures and subsequently how to prevent this with new protection devices.
Authors:
Camille Hauville; Itsik Ben-Dor; Joseph Lindsay; Augusto D Pichard; Ron Waksman
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2012-01-05
Journal Detail:
Title:  Cardiovascular revascularization medicine : including molecular interventions     Volume:  13     ISSN:  1878-0938     ISO Abbreviation:  Cardiovasc Revasc Med     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-04-16     Completed Date:  2012-08-21     Revised Date:  2012-09-19    
Medline Journal Info:
Nlm Unique ID:  101238551     Medline TA:  Cardiovasc Revasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  133-40     Citation Subset:  IM    
Copyright Information:
Copyright © 2012. Published by Elsevier Inc.
Affiliation:
Washington Hospital Center, 110 Irving Street NW, Washington, DC 20010, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve / surgery*
Aortic Valve Stenosis / mortality,  surgery*
Heart Catheterization
Heart Valve Prosthesis Implantation / adverse effects*,  methods
Humans
Risk Assessment
Risk Factors
Stroke / epidemiology*,  etiology
Survival Rate
World Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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